Treatment of chyloperitoneum after extended lymphatic dissection during duodenopancreatectomy

Int J Pancreatol. 2000 Feb;27(1):83-7. doi: 10.1385/IJGC:27:1:83.

Abstract

Background: Chyloperitoneum is a rare postoperative complication that might be caused by an interruption of chylous ducts in the mesenteric root or the cysterna chyli. Two cases of chyloperitoneum after duodenopancreatectomy are reported in the literature.

Methods: We here report the third case that developed a chyloperitoneum 2 wk postoperatively when he resumed his normal diet.

Results: The patient was treated conservatively with paracenteses and chyloperitoneum subsided thereafter.

Conclusions: Chyloperitoneum after extended duodenopancreatectomy might be treated conservatively.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma / surgery
  • Aged
  • Bile Duct Neoplasms / surgery
  • Bile Ducts, Intrahepatic
  • Cholangiocarcinoma / surgery
  • Chylous Ascites / etiology*
  • Chylous Ascites / therapy*
  • Humans
  • Lymph Node Excision / adverse effects*
  • Male
  • Pancreaticoduodenectomy / adverse effects*
  • Paracentesis
  • Postoperative Complications / etiology*
  • Postoperative Complications / therapy*